Form 8804 - Annual Return For Partnership Withholding Tax (Section 1446) Page 2

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2
Form 8804 (2012)
Page
5
Gross section 1446 tax liability:
a Multiply line 4d by 35% (.35)
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5a
b Multiply line 4h by 28% (.28)
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5b
c Multiply line 4l by 25% (.25) .
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5c
d Multiply line 4p by 15% (.15)
5d
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e Add lines 5a through 5d .
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5e
6a Payments of section 1446 tax made by the partnership identified on
line 1a during its tax year (or with a request for an extension of time
to file) and amount credited from 2011 Form 8804
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6a
b Section 1446 tax paid or withheld by another partnership in which
the partnership identified on line 1a was a partner during the tax
year (enter only amounts reported on Form(s) 8805 and attach
these Form(s) 8805 to Form 8804) .
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6b
c Section 1446 tax paid or withheld by another partnership in which
the partnership identified on line 1a was a partner during the tax
year (enter only amounts reported on Form(s) 1042-S and attach
these Form(s) 1042-S to Form 8804) .
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6c
d Section 1445(a) or 1445(e)(1) tax withheld from or paid by the
partnership identified on line 1a during the tax year for a disposition
of a U.S. real property interest (enter only amounts reported on
Form(s) 8288-A and attach these Form(s) 8288-A to Form 8804) .
6d
e Section 1445(e) tax withheld from the partnership identified on line
1a during the tax year for a disposition of a U.S. real property
interest (enter only amounts reported on Form(s) 1042-S and attach
these Form(s) 1042-S to Form 8804) .
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6e
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Total payments. Add lines 6a through 6e .
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7
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Estimated tax penalty (see instructions). Check if Schedule A (Form 8804) is attached
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9
Add lines 5e and 8 .
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9
10
Balance due. If line 7 is smaller than line 9, enter balance due. Attach a check or money order
for the full amount payable to the “United States Treasury.” Write the partnership's U.S.
employer identification number, tax year, and Form 8804 on it
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10
11
Overpayment. If line 7 is more than line 9, enter amount overpaid .
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11
12
Amount of line 11 you want refunded to you .
12
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Amount of line 11 you want credited to next year's Form 8804 .
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than general partner, limited liability company member, or withholding agent) is
based on all information of which preparer has any knowledge.
Sign
Here
Signature of general partner, limited liability company
Title
Date
member, or withholding agent
Print/Type preparer's name
Preparer’s signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Firm's name
Firm's EIN
Use Only
Firm's address
Phone no.
8804
Form
(2012)

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